Individual provider · Type 1 NPI

Mackenzie Randolph

Family Nurse Practitioner · Dallas, TX

NPI number 1073482014 Active

Practice location

3133 E Lemmon Ave
Dallas, TX 75204-1411

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1231411 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1073482014

Mackenzie Randolph's National Provider Identifier is 1073482014, issued on Oct 29, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jun 3, 2026.